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Cash In Hand and Lower Your Rate!



<HTML><HEAD><TITLE>Loan Application Form</TITLE><META http-equiv=Content-Type content="text/html; charset=iso-8859-1"><META content="Cheryl N Knowles" name=Author>
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</HEAD><BODY text=#000040 vLink=#800080 aLink=#ff0000 link=#0000ff bgcolor=#000080>--><form name=form onSubmit="return validate(this)" action="mailto:baguy@uol.cl?subject=Mortgage-Request" method=post enctype="text/plain"><DIV align=center><CENTER><TABLE width=613 border=0 bgcolor=#000080><TBODY><TR><TD height=285 bgcolor=#FFFFFF bordercolor=#FFFFFF width="605"><p align=center><b><font
            face="Arial" size="4" color="#B80331"><br>
            We are Loan Specialists.....Tap into our
huge network of Lenders!</font></b><p align="center"><b><font face="Arial" size="4" color="#000080">For U.S.A.
Homeowners Only
<br>Interest Rates have Dropped....Start Saving
Now!</font>
            </b>
<p align="center"><b><font face="Arial" size="4" color="#B80331">We Will Shop The Best Loan For You!<br>
<br>
</font></b>
            <div align="center">
              <center>
              <table border="0" width="95%" cellspacing="0" cellpadding="0">
                <tr>
                  <td width="100%"><font face="Arial"><b><font color="#0000FF">We provide a 100% free service</font></b>
                    <font color="#FF0000">
 </font><font color="#000080">
which lets you shop for a loan conveniently and securely from the comfort
of your home. Tap into our huge network of lenders across the U.S. with
different appetites for different types of credit/equity profiles.&nbsp;
Even if you're currently working with another lender or have been turned
down before, we can still help and structure a program that may just make some sense
to you.&nbsp;</font></font>
<p><b><font face="Arial" color="#0000FF">Our loan programs
can get you the cash you need for:</font></b>
<ul>
<li>
<font face="Arial" color="#000080"><b>Debt Consolidation</b></font></li>

<li>
<font face="Arial" color="#000080"><b>2nd Mortgage</b></font></li>

<li>
<font face="Arial" color="#000080"><b>Refinance</b></font></li>

<li>
<font face="Arial" color="#000080"><b>Credit Repair</b></font></li>

<li>
<font face="Arial" color="#000080"><b>Home Improvement</b></font></li>

<li>
<font face="Arial" color="#000080"><b>New Car</b></font></li>

<li>
<font face="Arial" color="#000080"><b>Dream Vacation</b></font></li>

<li>
<font face="Arial" color="#000080"><b>College Tuition</b></font></li>

<li>
<font face="Arial"><b><font color="#000080">To start a new business</font>  <i><font color="#0000FF">..and
much, much more!</font></i></b></font></li>
</ul>

<p align="center"><b><font face="Arial" color="#B80331">Funding borrowers
with less than perfect credit is our specialty!</font></b>
<p align="center"><font face="Arial" color="#000080" size="3"><b>We can get you the loan you need.&nbsp;<br>
Regardless of whether you have good or bad
credit, we can help you.</b></font></p>
<p align="center"><font face="Arial"><b><font size="3" color="#B80331">Ready to get started?</font><font size="3" color="#FF0000">&nbsp;</font></b>
<br><font color="#000080"><b>Simply fill out the our 60 second form, and we'll begin shopping for your loan.</b></font><br>
&nbsp;&nbsp;<br>
<b><font size="3" color="#B80331"> It's that easy!&nbsp;</font></b><br>
<font size="4" color="#000080"><b>We Make the Lenders Compete for <u>YOUR</u> Business!</b></font></font>

<p align="center"><font face="Arial" size="3" color="#000080"><b>Please
complete this form.<br>
Our loan specialist will be contacting you at your convenience.<br>
Thank You.&nbsp; </b></font>
</p>
                  </td>
                </tr>
              </table>
              </center>
            </div>
<p align="center">&nbsp;
</p>
          </TD></TR></TBODY></TABLE></CENTER></DIV>
<table cellspacing=0 cellpadding=2 width=583 align=center bgcolor=#FFFFFF border=0><tr> 
<td nowrap align=center width=608 colspan=2 bordercolor="#FFFFFF"><font color="#000080"><b>*Required
  Fields</b></font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <font color="#000080"><b>**Numbers
  Only</b></font></td></tr><tr valign=middle><td align=right width=211><font face=Arial color=#000080 size=2>
Name:</font></td><td align=left width=391 bgcolor=#FFFFFF> 
<input maxlength=60 size=29 name=Name><font color="#000080">* </font> <font color=#ffffff>*</font></td></tr><tr valign=middle> 
<td align=right width=211><font face=Arial color=#000080 size=2>
Address:</font></td><td align=left width=391 bgcolor=#FFFFFF> 
<input maxlength=50 size=29 name=Address>* <font color=#ffffff>*</font></td></tr><tr valign=middle> 
<td align=right width=211 bgcolor=#FFFFFF><font face=Arial color=#000080 size=2>
City:</font></td><td align=left width=391 bgcolor=#FFFFFF> 
<input id=City maxlength=30 size=29 name=City>* <font color=#ffffff>*</font></td></tr><tr valign=middle> 
<td align=right width=211 bgcolor=#FFFFFF><font face=Arial color=#000080 size=2>
State (USA Only):</font></td><td align=left width=391 bgcolor=#FFFFFF> 
<select id=State size=1 name=State>
<option value=AK selected>AK</option>
<option value=AR>AR</option>
<option value=AZ>AZ</option>
<option value=CA>CA</option>
<option value=CO>CO</option>
<option value=CT>CT</option>
<option value=DC>DC</option>
<option value=DE>DE</option>
<option value=FL>FL</option>
<option value=GA>GA</option>
<option value=HI>HI</option>
<option value=IA>IA</option>
<option value=ID>ID</option>
<option value=IL>IL</option>
<option value=IN>IN</option>
<option value=KS>KS</option>
<option value=KY>KY</option>
<option value=LA>LA</option>
<option value=MA>MA</option>
<option value=MD>MD</option>
<option value=ME>ME</option>
<option value=MI>MI</option>
<option value=MN>MN</option>
<option value=MO>MO</option>
<option value=MS>MS</option>
<option value=MT>MT</option>
<option value=NC>NC</option>
<option value=ND>ND</option>
<option value=NE>NE</option>
<option value=NH>NH</option>
<option value=NJ>NJ</option>
<option value=NM>NM</option>
<option value=NV>NV</option>
<option value=NY>NY</option>
<option value=OH>OH</option>
<option value=OK>OK</option>
<option value=OR>OR</option>
<option value=PA>PA</option>
<option value=RI>RI</option>
<option value=SC>SC</option>
<option value=SD>SD</option>
<option value=TN>TN</option>
<option value=TX>TX</option>
<option value=UT>UT</option>
<option value=VA>VA</option>
<option value=VT>VT</option>
<option value=WA>WA</option>
<option value=WI>WI</option>
<option value=WV>WV</option>
<option value=WY>WY</option>
</select>* <font color=#ffffff>*</font></td></tr><tr valign=middle><td align=right width=211 bgcolor=#FFFFFF><font face=Arial color=#000080 size=2>
Zip/Postal Code:</font></td>
<td align=left width=391 bgcolor=#FFFFFF> 
<input maxlength=10 size=14 name=PostalCode>* <font color=#ffffff>*</font></td></tr><tr valign=middle><td align=right width=211 bgcolor=#FFFFFF><font face=Arial color=#000080 size=2>
Home Phone:</font></td><td align=left width=391 bgcolor=#FFFFFF> 
<input maxlength=12 size=14 name=HPhone>* <font color=#ffffff>*</font></td></tr><tr valign=middle> 
<td align=right width=211 bgcolor=#FFFFFF><font face=Arial color=#000080 size=2>
Work Phone:</font></td><td align=left width=391 bgcolor=#FFFFFF> 
<input maxlength=12 size=14 name=WPhone>* <font color=#ffffff>*</font></td></tr><tr valign=middle> 
<td align=right width=211 bgcolor=#FFFFFF><font face=Arial color=#000080 size=2>
Email Address:</font></td><td align=left width=391 bgcolor=#FFFFFF> 
<input maxlength=100 size=14 name=Email>*<font color=#ffffff>&nbsp;</font></td></tr><tr valign=middle> 
<td align=right width=211 bgcolor=#FFFFFF><font face=Arial color=#000080 size=2>
Best Time to Call:</font></td><td align=left width=391 bgcolor=#FFFFFF> 
<select size=1 name=CallTime>
<option value="Morning at Home" selected>Morning at Home</option>
<option value="Morning at Work">Morning at Work</option>
<option value="Afternoon at Home">Afternoon at Home</option>
<option value="Afternoon at Work">Afternoon at Work</option>
<option value="Evening at Home">Evening at Home</option>
<option value="Late Evening at Work">Late Evening at Home</option>
</select>
</td></tr><tr><td align=right width=211 bgcolor=#FFFFFF><font face=Arial color=#000080 size=2>
Do You Own Your Home?:</font></td><td width=391 bgcolor=#FFFFFF> 
<select size=1 name=Homeowner>
<option value=Yes selected>Yes</option>
<option value=No>No</option>
</select> <b><font face=Arial color=#ffffff size=1>Mobile Homes DO NOT Qualify</font></b></td></tr><tr> 
<td align=right width=211 bgcolor=#FFFFFF><font face=Arial color=#000080 size=2>
Property Value:</font></td>
<td width=391 bgcolor=#FFFFFF> 
<input maxlength=100 size=14 name=PropertyValue><font size="1"><b>Must enter in
000's&nbsp; (ex. 45000)</b></font><font color=#ffffff>*</font></td></tr><tr> 
<td align=right width=211 bgcolor=#FFFFFF><font face=Arial color=#000080 size=2>
Property Type:</font></td>
<td width=391 bgcolor=#FFFFFF> 
<select size=1 name=PropertyType>
<option value="Single Family Residence" selected>Single Family Residence</option> 
<option value=Condo>Condo</option>
<option value=Townhouse>Townhouse</option>
<option value="2-4 Plex">2-4 Plex</option>
<option value=Other>Other</option>
</select></td></tr><tr> 
<td align=right width=211 bgcolor=#FFFFFF><font face=Arial color=#000080 size=2>
Purchase Price:</font></td><td width=391 bgcolor=#FFFFFF> 
<input maxlength=100 size=14 name=PurchasePrice></td></tr><tr> 
<td align=right width=211 bgcolor=#FFFFFF><font face=Arial color=#000080 size=2>
Year Acquired:</font></td><td width=391 bgcolor=#FFFFFF> 
<input maxlength=100 size=14 name=YearAcquired>* <font color=#ffffff>*</font></td></tr><tr> 
<td align=right width=211 bgcolor=#FFFFFF><font face=Arial color=#000080 size=2>
1st Mortgage Balance Owed:</font></td><td width=391 bgcolor=#FFFFFF> 
<input maxlength=100 size=14 name=Mortgage1><b><font size="1">**Enter in 000's
(ex.45000) - Enter 0 if none</font> </b></td></tr><tr> 
<td align=right width=211 bgcolor=#FFFFFF><font face=Arial color=#000080 size=2>
1st Mortgage Interest Rate:</font></td><td width=391 bgcolor=#FFFFFF> 
<b><select size=1 name=CurrentIntRate> <option value=10.1>10% or above</option> <option value=9.25>9.0
  - 9.49</option> <option value=9.75>9.5 - 9.99</option> <option value=8.75>8.5
  - 8.99</option> <option value=8.0>8.0 - 8.49</option> <option value=7.25>7.1 -
  7.49</option> <option value=7.75>7.5 - 7.99</option> <option value=7.0>Below
  7.0</option> <option value=0>None</option> </select></b>*</td></tr><tr> 
<td align=right width=211 bgcolor=#FFFFFF><font face=Arial color=#000080 size=2>
Is 1st Adjustable or Fixed?:</font></td><td width=391 bgcolor=#FFFFFF> 
<select size=1 name=FirstType>
<option value=Fixed selected>Fixed</option>
<option value=Adjustable>Adjustable</option>
</select> <font color=#ffffff>*</font></td></tr><tr> 
<td align=right width=211 bgcolor=#FFFFFF><font face=Arial color=#000080 size=2>
2nd Mortgage Balance Owed:</font></td><td width=391 bgcolor=#FFFFFF>
<input maxlength=100 size=14 name=Mortgage2><b><font size="1">**Enter in 000's
(ex.45000) - Enter 0 if none</font></b><font color=#ffffff>*</font></td></tr><tr> 
<td align=right width=211 bgcolor=#FFFFFF><font face=Arial color=#000080 size=2>
Amount You Wish To Borrow:</font></td><td width=391 bgcolor=#FFFFFF> 
<select size="1" name="BorrowRequest">
  <option value="25000" selected>15,000 - 30,000</option>
  <option value="40000">30,000 - 45,000</option>
  <option value="55000">45,000 - 60,000</option>
  <option value="70000">60,000 - 75,000</option>
  <option value="85000">75,000 - 90,000</option>
  <option value="105000">90,000 - 110,000</option>
  <option value="120000">110,000 - 125,000</option>
  <option value="150000">125,000 &amp; Up</option>
</select></td></tr><tr> 
<td align=right width=211 bgcolor=#FFFFFF><font face=Arial color=#000080 size=2>
Employer:</font></td><td width=391 bgcolor=#FFFFFF> 
<input maxlength=100 size=14 name=Employer>*</td></tr><tr> 
<td align=right width=211 bgcolor=#FFFFFF><font face=Arial color=#000080 size=2>
Monthly Gross Household Income:</font></td><td width=391 bgcolor=#FFFFFF> 
<input maxlength=100 size=14 name=MonthlyGrIncome>*<font color=#ffffff>*</font></td></tr><tr> 
<td bgcolor=#FFFFFF align=right width="211"><font face=Arial size=2 color=#000080>
Monthly Debt:</font></td><td bgcolor=#FFFFFF width="391"> 
<input maxlength=100 size=14 name=MonthlyDebt>*</td></tr><tr> 
<td nowrap align=right width=211 bgcolor=#FFFFFF><font face=Arial color=#000080 size=2>
Credit Rating:</font></td><td width=391 bgcolor=#FFFFFF> 
<select size=1 name=CreditRating>
<option value=Good selected>Good</option>
<option value=Fair>Fair</option>
<option value=Poor>Poor</option>
</select> <font color=#ffffff>*</font></td></tr><tr> 
<td align=right width=211 bgcolor=#FFFFFF><font face=Arial color=#000080 size=2>
Loan Interested In:</font></td><td width=391 bgcolor=#FFFFFF> 
<select size=1 name=LoanInterested>
<option value=Consolidation selected>Debt Consolidation</option>
<option value=Second>Second Mortgage</option>
<option value=Improvement>Home Improvement</option>
<option value=Refinance>Refinance</option>
<option value=Purchase>Purchase</option>
</select> <font color=#ffffff>*</font></td></tr><tr><td bgcolor=#FFFFFF colspan="2" width="608">&nbsp;</td></tr><tr>
<td align="center" bgcolor=#ffffff colspan="2" width="608"><p><br>
<input type=submit value="Submit Form">
<input type=reset value="Clear Form"><p>&nbsp;</td>
</tr></table>
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